Biomedical subjects

Matt A Bernstein

Publications and source records attributed to Matt A Bernstein.

13 recordsLinked to original sources

PubMed2006

Motion correction properties of the shells k-space trajectory.

The feasibility of a k-space trajectory that samples data on a set of 3D shells is demonstrated with phantom and volunteer experiments. Details of an interleaved multi-shot, helical spiral pulse sequence and a gridding reconstruction algorithm that uses Voronoi diagrams are provided. The motion-correction properties of the shells k-space trajectory are described. It is shown that when used in conjunction with three point markers, k-space data acquired with the shells trajectory provide a generalization of the RINGLET method, allowing for correction of arbitrary rigid-body motion with six degrees of freedom. Use of dedicated navigator echoes or redundant acquisitions of k-space data are not required. Retrospective motion correction is demonstrated with controlled phantom experiments and with seven healthy human volunteers. The motion correction is shown to improve the images, both qualitatively and quantitatively with a metric calculated from image entropy. Advantages and challenges of the shells trajectory are discussed, with particular attention to acquisition efficiency.

Algorithms↗

PubMed2006

Longitudinal stability of MRI for mapping brain change using tensor-based morphometry.

Measures of brain change can be computed from sequential MRI scans, providing valuable information on disease progression, e.g., for patient monitoring and drug trials. Tensor-based morphometry (TBM) creates maps of these brain changes, visualizing the 3D profile and rates of tissue growth or atrophy, but its sensitivity depends on the contrast and geometric stability of the images. As part of the Alzheimer's Disease Neuroimaging Initiative (ADNI), 17 normal elderly subjects were scanned twice (at a 2-week interval) with several 3D 1.5 T MRI pulse sequences: high and low flip angle SPGR/FLASH (from which Synthetic T1 images were generated), MP-RAGE, IR-SPGR (N = 10) and MEDIC (N = 7) scans. For each subject and scan type, a 3D deformation map aligned baseline and follow-up scans, computed with a nonlinear, inverse-consistent elastic registration algorithm. Voxelwise statistics, in ICBM stereotaxic space, visualized the profile of mean absolute change and its cross-subject variance; these maps were then compared using permutation testing. Image stability depended on: (1) the pulse sequence; (2) the transmit/receive coil type (birdcage versus phased array); (3) spatial distortion corrections (using MEDIC sequence information); (4) B1-field intensity inhomogeneity correction (using N3). SPGR/FLASH images acquired using a birdcage coil had least overall deviation. N3 correction reduced coil type and pulse sequence differences and improved scan reproducibility, except for Synthetic T1 images (which were intrinsically corrected for B1-inhomogeneity). No strong evidence favored B0 correction. Although SPGR/FLASH images showed least deviation here, pulse sequence selection for the ADNI project was based on multiple additional image analyses, to be reported elsewhere.

Aged↗

PubMed2006

Imaging artifacts at 3.0T.

Clinical MRI at a field strength of 3.0T is finding increasing use. However, along with the advantages of 3.0T, such as increased SNR, there can be drawbacks, including increased levels of imaging artifacts. Although every imaging artifact observed at 3.0T can also be present at 1.5T, the intensity level is often higher at 3.0T and thus the artifact is more objectionable. This review describes some of the imaging artifacts that are commonly observed with 3.0T imaging, and their root causes. When possible, countermeasures that reduce the artifact level are described.

Artifacts↗

PubMed2006

Three-dimensional MRI with an undersampled spherical shells trajectory.

The shells trajectory is a 3D data acquisition method with improved efficiency compared to Cartesian sampling. It is a true center-out trajectory that does not repeatedly resample the center of k-space, and also offers advantages for motion correction. This work demonstrates that k-space undersampling can be combined with the shells trajectory to further accelerate the acquisition. The undersampling was implemented by removing selected interleaves from shells with larger radii. Because only the outer portion of k-space was undersampled, the artifacts introduced were of low energy and high spatial frequency. The undersampling rate was determined by a Kaiser window with a variable shape parameter beta. Various undersampling schemes with different beta values were examined. Phantom and volunteer studies demonstrate that when up to a twofold acceleration is achieved, only minor artifacts are introduced by undersampling the shells trajectory. For a fixed acquisition time, the improved efficiency can be used to increase spatial resolution.

Algorithms↗

PubMed2005

Preangiographic evaluation of spinal dural arteriovenous fistulas with elliptic centric contrast-enhanced MR Angiography and effect on radiation dose and volume of iodinated contrast material.

BACKGROUND AND PURPOSE: The detection and localization of spinal dural arteriovenous fistulas (AVFs) remain diagnostic challenges. This study tested the hypothesis that elliptic centric contrast-enhanced MR angiography (MRA) can be used to detect spinal dural AVFs, predict the level of fistulas, and reduce the radiation dose and volume of iodinated contrast material associated with conventional angiography. METHODS: We examined 31 patients who presented with suspected spinal dural AVF between December 2000 and March 2004. All patients underwent MRA and conventional angiography. The effect of MRA on subsequent conventional angiography was assessed by analyzing total fluoroscopy time and volume of iodinated contrast material used. RESULTS: At angiography, spinal dural AVFs were diagnosed in 22 of 31 patients, and MRA depicted an AVF in 20 of the 22 patients. MRA findings correctly predicted a negative angiogram in seven of nine cases. Of the 20 true-positive MRA results, the level of the fistula was included in the imaging volume in 14. In 13 of these 14 cases, MRA results correctly predicted the side and the level of the fistula to within one vertebral level. Fluoroscopy time and the volume of contrast agent was reduced by more than 50% in the 13 patients with a spinal dural AVF in whom MRA prospectively indicated the correct level. CONCLUSION: Contrast-enhanced MRA can be used to detect spinal dural AVFs, predict the level of fistulas, and substantially reduce the radiation dose and volume of contrast agent associated with catheter spinal angiography.

Aged↗

PubMed2004

Evaluation of classic 2D time-of-flight MR angiography in the depiction of severe carotid stenosis.

OBJECTIVE: The purpose of this study is to determine the sensitivity, specificity, and clinical utility of classic 2D time-of-flight MR angiography (acquired with derated gradients) as an aid to predicting severe carotid stenosis. SUBJECTS AND METHODS: Our study population was composed of 68 patients, yielding 133 carotid bifurcations for analysis. A 2D time-of-flight MR angiography pulse sequence was modified to provide greater sensitivity for carotid stenosis, which resulted in visualization of a carotid stenosis with a 70% or greater diameter as a signal void. Contrast-enhanced MR angiography was performed with the elliptical centric view order. Multiple overlapping thin-slab acquisition (MOTSA) MR angiography was performed in select patients. Digital subtraction angiography was performed in 51 patients, and the findings were used as the gold standard. In the remaining patients, findings on carotid duplex Doppler sonography and at surgery and clinical follow-up were used as the gold standard. RESULTS: In 51 patients for whom a digital subtraction angiogram was available, we found that the sensitivity of classic 2D time-of-flight MR angiography for prediction of carotid stenosis with a 70% or greater diameter was 94%, and the specificity of the technique was 97%. In three patients with severe carotid stenosis, the stenoses that appeared as signal voids on the classic 2D time-of-flight MR angiography were underestimated on contrast-enhanced MR angiography. Severe stenosis was confirmed by subsequent digital subtraction angiography, surgical results, or both. Discrepancies between findings on MOTSA MR angiography and contrast-enhanced MR angiography were resolved with classic 2D time-of-flight MR angiography. Classic 2D time-of-flight MR angiography increased diagnostic confidence of a severe stenosis in three patients with focal internal carotid artery stenosis. CONCLUSION: Classic 2D time-of-flight MR angiography has a high sensitivity and specificity for predicting carotid bifurcation stenosis of 70% or greater diameter. These probability measures allowed the detection of three significant stenoses that would have been missed on contrast-enhanced MR angiography and provided greater diagnostic confidence than contrast-enhanced or MOTSA MR angiography alone.

Aged↗

PubMed2004

Improved image quality of intracranial aneurysms: 3.0-T versus 1.5-T time-of-flight MR angiography.

BACKGROUND AND PURPOSE: We hypothesize that the nearly doubling of signal-to-noise ratio at 3.0 T compared with that at 1.5 T yields improved clinical MR angiograms and enables superior visualization of intracranial aneurysms. The goal of this study was to determine whether 3.0-T time-of-flight (TOF) MR angiography is superior to 1.5-T TOF MR angiography in the detection and characterization of intracranial aneurysms. METHODS: Fifty consecutive patients referred for MR angiography of a known or suspected intracranial aneurysm underwent 3-T TOF MR angiography. Seventeen of these 50 patients had also previously undergone 1.5-T TOF MR angiography and these images were used as a basis for comparison with images obtained at 3.0 T. Fourteen of 23 patients in whom aneurysms were identified also underwent prior conventional angiography, which was used as the reference standard. Readers blinded to patient history identified the presence and location of aneurysm(s) on angiograms and graded images for overall image quality by using a five-point scale. RESULTS: Twenty-eight aneurysms were identified in 23 of 50 patients. Seventeen aneurysms in 17 patients had been documented with 1.5-T MR angiography. The 3.0-T technique had a higher mean image quality score than that of the 1.5-T MR technique (P <.0001). Both 3.0-T and 1.5-T TOF MR angiography depicted all the aneurysms that had been documented by conventional angiography. CONCLUSION: 3D TOF MR angiography at 3 T offers superior depiction of intracranial aneurysms compared with that of 1.5-T TOF MR angiography.

Adult↗

PubMed2004

3-T imaging of the cochlear nerve and labyrinth in cochlear-implant candidates: 3D fast recovery fast spin-echo versus 3D constructive interference in the steady state techniques.

BACKGROUND AND PURPOSE: High-resolution imaging of the internal auditory canal and labyrinth at 1.5 T is often performed by using three-dimensional (3D) fast spin-echo or T2* techniques. We evaluated both techniques at 3 T in the preoperative assessment of patients being considered for cochlear implants. METHODS: Sagittal 3D fast recovery fast spin-echo (FRFSE) and 3D constructive interference in the steady state (CISS) images were acquired in eight patients at 3.0 T by using dual surface coils. Contrast-to-noise ratios (CNRs) for the intracanalicular nerve and CSF were measured in the internal auditory canal. Two neuroradiologists reviewed the images to determine whether the techniques provided images of diagnostic quality. RESULTS: CNRs for 3D CISS were twice those obtained with 3D FRFSE. Both techniques provided images of diagnostic quality, though spurious signal intensity loss at the apex of the superior semicircular canals was encountered on 3D FRFSE images in four of eight patients. CONCLUSION: Both 3D FRFSE and 3D CISS provide high-resolution images of the internal auditory canal and labyrinth at 3.0 T. We predict that the superior CNRs obtained with 3D CISS will prove advantageous as we move to smaller fields of view at higher field strength.

Artifacts↗

PubMed2003

Reduction of RF power for magnetization transfer with optimized application of RF pulses in k-space.

More efficient use of RF power for RF-intensive applications such as magnetization transfer (MT) is necessary at high field strength (3.0 T or greater) to keep the specific absorption rate (SAR) within regulatory limits. It has been demonstrated that RF power deposition can be reduced with minimal impact on image quality by preferential application of MT pulses to the central phase-encoding views. This work extends that approach to both phase-encoding directions in a 3D acquisition (i.e., phase and slice) and further improves it by modulating the flip angle of the MT pulse according to the phase-encoded view's distance to the center of k-space. This technique is implemented for 3D time-of-flight (TOF) MR angiography (MRA) and the parameters for MT pulse are optimized based on phantom studies at 3.0 T. MT applied with this method at 3.0 T is shown to improve the blood vessel detectability in high-resolution intracranial 3D TOF MRA exams of 11 patients.

Adult↗

PubMed2003

RINGLET motion correction for 3D MRI acquired with the elliptical centric view order.

A new rigid-body motion correction algorithm is described that is compatible with 3D image sets acquired with the elliptical centric (EC) view order. With this view order, an annular ring of k-space data is acquired in the ky-kz plane during any short time interval. Images for tracking motion can be reconstructed in the yz-plane from any ring of the acquisition data. In these tracking images, a point source (such as an external marker) shows a characteristic bull's-eye pattern that permits motion monitoring and correction. The true position of the point object is located at the center of the bull's-eye pattern. Cross correlation can be performed to automatically track the positions of markers reconstructed from adjacent rings of k-space. To increase the marker signal, the markers are encased in inductively coupled RF coils. Rigid-body motion in the yz-plane is calculated directly with the Euclidean group for rotation and translation, and corrected by rotating and applying phase shifts to any corrupted rings of data. In the current work we present a theoretical analysis of this method, as well as results of volunteer and controlled phantom experiments that demonstrate its initial feasibility. Although the EC view order has mainly been used for MR angiography (MRA), it can also be used for most 3D acquisitions.

Algorithms↗

PubMed2002

Hybrid phased array for improved internal auditory canal imaging at 3.0-T MR.

PURPOSE: To develop and evaluate a hybrid phased array for internal auditory canal (IAC) imaging at 3.0 T. MATERIALS AND METHODS: A hybrid phased array was designed and built as two circular surface receive-only coils combined with a volume transmit-receive birdcage head coil for simultaneous image acquisition. Phantom and volunteer images were obtained to assess the coil performance. RESULTS: The phantom data show that significant signal-to-noise ratio (SNR) improvement was achieved in the region corresponding to the inner ear, i.e., by a factor of 2.5 compared to the standard head coil data. Volunteer IAC image quality was deemed superior as compared to images acquired at 3.0 T using a standard head coil. CONCLUSION: This hybrid array combined with three-dimensional fast spin-echo (FSE) acquisition resulted in improved high spatial resolution IAC imaging.

Ear, Inner↗

PubMed2002

Correction of concomitant magnetic field-induced image artifacts in nonaxial echo-planar imaging.

Echo-planar images acquired in nonaxial planes are often distorted. Such image distortion has limited the applications of the echo-planar imaging (EPI) technique. In this article, it is demonstrated that a considerable amount of the distortion is caused by the higher-order magnetic field concomitant with the linear magnetic field gradient, or the concomitant magnetic field. The image distortion caused by the concomitant magnetic field is more prominent when a higher gradient amplitude is used for readout. It is also shown that the concomitant magnetic field can cause ghosting and blurring. A theoretical analysis is performed for the concomitant field effect in nonaxial EPI images. A point-by-point (or line-by-line) phase correction algorithm is developed to correct the image distortion, ghosting, and blurring. A postreconstruction processing algorithm is also developed to correct image distortion with much higher computational efficiency. Experimental results show that both correction methods effectively reduce the image distortion in coronal or sagittal images.

Artifacts↗

PubMedDate not supplied

Pediatric and adult cochlear implantation.

The frequency of cochlear implantation has increased tremendously over the past decade. Cochlear implantation is often performed as an outpatient procedure and is considered an acceptable treatment for severe to profound sensorineural hearing loss in patients who are refractory to conventional hearing augmentation. Imaging plays an important part in the work-up of cochlear implant candidates, and an understanding of imaging evaluation procedures is essential. The radiologist must be familiar with imaging findings that contraindicate implantation (absence of the cochlea or cochlear nerve) and with those that could significantly alter surgery (facial nerve dehiscence, cochlear ossification). It is also imperative to be familiar with the growing number of imaging options (particularly magnetic resonance [MR] imaging pulse sequences) to optimize evaluation of cochlear implant candidates. Imaging choices will be substantially influenced by the manufacturer of the computed tomographic scanner or MR imager. Radiologists will assume an expanding role in evaluating affected patients as the frequency of cochlear implantation continues to increase.

Adult↗